Forwarddental Appleton | |
3030 N Ballard Rd Appleton WI 54911-8707 | |
(414) 963-2301 | |
(414) 963-0413 |
Full Name | Forwarddental Appleton |
---|---|
Speciality | Dentist - General Practice |
Location | 3030 N Ballard Rd, Appleton, Wisconsin |
Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Forwarddental Appleton 3030 N Ballard Rd Appleton WI 54911-8707 Ph: (414) 963-2301 | Forwarddental Appleton 3030 N Ballard Rd Appleton WI 54911-8707 Ph: (414) 963-2301 |
NPI Number | 1154459881 |
---|---|
Provider Enumeration Date | 03/02/2007 |
Last Update Date | 03/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154459881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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